Individual
LEAH HERMANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1718 S INGRAM AVE, SUITE C, SEDALIA, MO 65301-7505
(660) 827-2535
Mailing address
601 E 14TH ST, SEDALIA, MO 65301-5972
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F0117368
MO
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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